UNC Health · Lenoir, NC
3 of 5
CMS star rating
137
Beds
4,250
Inpatient discharges a year
$205.4M
Net patient revenue a year
27
In-network payers
Caldwell Memorial Hospital is a 137-bed voluntary non-profit - other hospital in Lenoir, NC, affiliated with UNC Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 451 disclosed rate categories.
The 24 services Caldwell Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$6,105 - $8,405
from 4 insurers · median $6,776
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$7,490 - $13,352
from 4 insurers · median $9,829
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$1,808 - $2,974
from 2 insurers · median $2,391
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$4,148 - $5,021
from 2 insurers · median $4,585
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$14,871 - $24,285
from 4 insurers · median $18,354
25 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$601 - $797
from 2 insurers · median $699
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,452 - $17,476
from 3 insurers · median $13,311
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,897 - $5,021
from 2 insurers · median $3,459
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,819 - $5,021
from 2 insurers · median $4,420
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,363 - $1,864
from 2 insurers · median $1,614
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$986 - $1,712
from 2 insurers · median $1,349
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$7,890 - $11,060
from 2 insurers · median $9,475
59 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
MRI imaging
CPT 70553
$2,233 - $2,493
from 2 insurers · median $2,363
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$8,761 - $17,476
from 2 insurers · median $13,119
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$8,792 - $9,631
from 2 insurers · median $9,211
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$6,105 - $8,405
from 4 insurers · median $6,776
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Gynecology
CPT 58571
$9,400 - $17,476
from 2 insurers · median $13,438
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$9,561 - $17,476
from 3 insurers · median $15,563
60 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$142 - $273
from 2 insurers · median $207
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$1,024 - $1,859
from 2 insurers · median $1,441
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$2,419 - $2,460
from 2 insurers · median $2,439
Common here, based on CMS Medicare volume
Urology
CPT 52000
$2,474 - $2,589
from 2 insurers · median $2,531
107 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Gynecology
CPT 58661
$8,990 - $17,476
from 2 insurers · median $13,233
Typical for a hospital with this service line
MRI imaging
CPT 72148
$982 - $1,845
from 2 insurers · median $1,414
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 12 | 535% | 2 | 7 |
| Insurer B* | 24 | 351% | 16 | 3 |
| Insurer C* | 15 | 331% | 12 | 0 |
| Insurer D* | 7 | 210% | 0 | 2 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Caldwell Memorial Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$205.4M net patient revenue
Ownership and leadership
Owned by University Of North Carolina Health Care System
The employer identification numbers (EINs) health plans and networks list for Caldwell Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 56-0554202(multi-state) Caldwell Memorial Hospital | 47Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 42 more | 1114974029 Caldwell Memorial Hospital Inc.1417483728 Caldwell Memorial Hospital Inc.1487694352 Caldwell Memorial Hospital Incand 50 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
321 Mulberry Street Sw, Lenoir, NC 28645
(828) 757-5100
How Caldwell Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
58%
Lower than 89% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.07
Higher than 77% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
205 min
Higher than 83% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
78%
Higher than 80% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | Better on 1 of 6 measures | |
| Readmissions | Better on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 58% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.07 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 205 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 78% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Caldwell Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
-0.61% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.55% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Caldwell Memorial Hospital, beside the US median and the average of NC hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 97 cases | 4.5 | 4.1 | 4.042 | Worse than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,098 cases | 3.9 | 3.9 | 3.99 | Better than 49% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 53 cases | 12.2 | 11.8 | 11.93 | Worse than 64% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.5 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 41 cases | 10.3 | 8.5 | 8.754 | Worse than 88% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 77 cases | 11.4 | 11 | 11.28 | Worse than 57% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 162 cases | 18 | 15.2 | 15.37 | Worse than 86% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 82 cases | 11.6 | 11.6 | 12.32 | Better than 50% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,533 cases | 0.78 | 0.51 | 0.6392 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,719 cases | 0.2 | 0.2 | 0.2025 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,682 cases | 0.25 | 0.27 | 0.2734 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 350 cases | 3.1 | 2.29 | 2.327 | No Different Than the National Rate | Worse than 96% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 137 cases | 1.62 | 1.63 | 1.616 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 138 cases | 9.57 | 8.88 | 9.086 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 373 cases | 4.39 | 3.4 | 3.731 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 123 cases | 5 | 5.105 | 4.934 | No Different Than the National Rate | Better than 59% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 46 cases | 1.73 | 1.72 | 1.74 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 170 cases | 1.02 | 1.02 | 1.018 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.516 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 85 cases | 51.5 | 1.25 | 4.059 | Worse than 92% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 155 cases | -23.7 | 3.85 | 4.357 | Better than 84% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 230 cases | 15.9 | 12.9 | 12.92 | No Different Than the National Rate | Worse than 99% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.53 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.411 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 271 cases | 1 | 1 | 0.979 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 87 cases | 14.9 | 14.4 | 14.22 | Worse than 74% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.9 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 165 cases | 19.2 | 19.8 | 19.82 | Better than 77% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 232 cases | 22.1 | 21.3 | 21.37 | Worse than 74% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 88 cases | 6.2 | 5.8 | 5.698 | Worse than 72% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 311 cases | 16.5 | 17.2 | 17.06 | Better than 80% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.217 | 0.172 | 0.3158 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.271 | 1.504 | 2.089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,271 | 1,370 | 6,107 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.547 | 0.9835 | 6.392 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 4.212 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.293 | 0.484 | 0.6593 | No Different than National Benchmark | Worse than 92% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.024 | 0.138 | 0.2172 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.342 | 1.392 | 2.008 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 3,041 | 1,799 | 5,404 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.106 | 1.377 | 7.041 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.354 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.475 | 0.399 | 0.5489 | No Different than National Benchmark | Worse than 58% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.047 | 0.2345 | 0.4264 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.596 | 2.135 | 2.632 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 42 | 61 | 148 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.073 | 1.591 | 3.971 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 3.869 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.932 | 0.7155 | 0.9259 | No Different than National Benchmark | Worse than 65% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3213 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.699 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 2 | 38 | 81.85 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.02 | 0.328 | 0.7343 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.267 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2893 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.314 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 19,320 | 14,451 | 62,217 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.753 | 0.567 | 4.657 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.863 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.742 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.161 | 0.127 | 0.1478 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.221 | 0.747 | 1.095 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 19,320 | 13,646 | 56,214 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.903 | 5.683 | 32.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 9.258 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.506 | 0.279 | 0.3119 | No Different than National Benchmark | Worse than 76% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 525 cases | 70 | 73 | 71.37 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 525 cases | 10 | 8 | 9.762 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 525 cases | 20 | 18 | 18.87 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 525 cases | 86 | 87 | 85.7 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 525 cases | 3 | 4 | 3.269 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 525 cases | 78 | 80 | 80.26 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 525 cases | 91 | 91 | 91.65 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 525 cases | 4 | 4 | 4.218 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 525 cases | 3 | 3 | 3.591 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 525 cases | 18 | 16 | 15.52 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 525 cases | 82 | 79 | 80.9 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 525 cases | 92 | 91 | 91.66 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 525 cases | 6 | 5 | 5.01 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 525 cases | 4 | 3 | 3.452 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 525 cases | 12 | 16 | 14.09 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 525 cases | 56 | 61 | 62.62 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 525 cases | 73 | 77 | 77.77 | Worse than 78% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 525 cases | 25 | 19 | 18.97 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 525 cases | 2 | 3 | 2.839 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 525 cases | 19 | 19 | 18.41 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 525 cases | 87 | 86 | 86.12 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 525 cases | 13 | 13 | 13.33 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 525 cases | 4 | 3 | 3.441 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 525 cases | 87 | 87 | 86.67 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 525 cases | 11 | 14 | 14.2 | Better than 77% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 525 cases | 89 | 86 | 85.8 | Better than 77% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 525 cases | 77 | 74 | 76.04 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 525 cases | 7 | 7 | 6.586 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 525 cases | 16 | 19 | 17.37 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 525 cases | 80 | 77 | 79.47 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 525 cases | 6 | 6 | 5.475 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 525 cases | 14 | 17 | 15.05 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 525 cases | 88 | 85 | 86.33 | Better than 70% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 525 cases | 4 | 3 | 3.465 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 525 cases | 8 | 11 | 10.2 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 525 cases | 9 | 8 | 8.446 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 525 cases | 26 | 20 | 20.15 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 525 cases | 65 | 72 | 71.41 | Worse than 75% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 525 cases | 86 | 88 | 88.02 | Worse than 69% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 525 cases | 3 | 3 | 3.323 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 525 cases | 68 | 74 | 75.25 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 525 cases | 13 | 9 | 9.232 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 525 cases | 19 | 16 | 15.52 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 525 cases | 72 | 75 | 75.79 | Worse than 67% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 525 cases | 7 | 5 | 5.697 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 525 cases | 21 | 20 | 18.52 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 525 cases | 76 | 77 | 77.57 | Worse than 51% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 525 cases | 4 | 4 | 4.424 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 525 cases | 20 | 19 | 18.01 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 525 cases | 86 | 86 | 86.24 | Worse than 47% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 525 cases | 2 | 3 | 2.859 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 525 cases | 12 | 11 | 10.9 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 525 cases | 51 | 59 | 60.2 | Worse than 77% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 525 cases | 16 | 9 | 9.109 | Worse than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 525 cases | 33 | 31 | 30.69 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 525 cases | 77 | 82 | 82.46 | Worse than 76% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 525 cases | 2 | 3 | 3.419 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 525 cases | 8 | 5 | 5.683 | Worse than 76% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 525 cases | 58 | 71 | 70.04 | Worse than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 525 cases | 82 | 87 | 86.94 | Worse than 85% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 525 cases | 34 | 23 | 24.28 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 525 cases | 2 | 4 | 3.656 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 525 cases | 43 | 47 | 49.27 | Worse than 70% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 525 cases | 38 | 30 | 29.43 | Worse than 87% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 525 cases | 19 | 22 | 21.29 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 525 cases | 3 | 3 | 3.387 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 525 cases | 15 | 12 | 12.81 | Worse than 73% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 525 cases | 85 | 88 | 87.19 | Worse than 73% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.179 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.182 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1154 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,599 cases | 90 | 79 | 85.95 | Better than 71% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 394 cases | 213 | 154 | 190 | Worse than 84% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 359 cases | 205 | 148 | 183 | Worse than 83% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 15 cases | 297 | 247 | 389 | Worse than 67% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 20 cases | 390 | 293 | 427 | Worse than 82% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 27,222 cases | 2 | 1 | 2.253 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 13 cases | 69 | 74 | 72.17 | Worse than 60% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 123 cases | 72 | 97 | 93.75 | Worse than 94% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 54.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,129 cases | 20 | 15 | 16.55 | Worse than 84% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 383 cases | 78 | 65 | 63.49 | Better than 80% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 170 cases | 86 | 73 | 72.19 | Better than 79% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 98 cases | 88 | 88 | 81.33 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 384 cases | 90 | 82 | 80.49 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 235 cases | 98 | 94 | 94.21 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 60 cases | 95 | 98 | 96.77 | Worse than 77% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.33 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 56 cases | 93 | 94 | 93.39 | Worse than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 88.42 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 96.08 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.6 | 5 | 4.658 | Better than 88% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.2 | 6.6 | 6.699 | Better than 55% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.03 | 0.99 | 0.9478 | Worse than 70% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 12 | 20 | 20.53 | Worse than 68% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3 | 5 | 5.133 | Worse than 68% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 27.67 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 7.066 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 32 | 34 | 42.34 | Worse than 54% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8 | 8.75 | 10.67 | Worse than 54% of US hospitals | |
| VBP safety domain scoreFY 2026 | 40 | 40 | 39.99 | Worse than 49% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 10 | 10 | 10.21 | Worse than 49% of US hospitals | |
| VBP total performance scoreFY 2026 | 21 | 29.5 | 32.71 | Worse than 80% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 62 | 64 | 27.5 | 12 | 10 | 12 |
| VBP clinical outcomes weighted domain score | 15.5 | 16 | 6.875 | 3 | 2.5 | 3 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 30 | 20 | 10 | 0 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 7.5 | 5 | 2.5 | 0 |
| VBP person and community engagement domain score | 31 | Not Available | Not Available | 13 | 11 | 32 |
| VBP person and community engagement weighted domain score | 7.75 | Not Available | Not Available | 3.25 | 2.75 | 8 |
| VBP safety domain score | 40 | Not Available | Not Available | 20 | 17.5 | 40 |
| VBP safety weighted domain score | 10 | Not Available | Not Available | 5 | 4.375 | 10 |
| VBP total performance score | 35.75 | Not Available | Not Available | 16.25 | 12.13 | 21 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.045 | 0.9995 | 0.987 | Worse than 76% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9572 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9772 | 0.9969 | 0.9983 | Better than 69% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 98 cases | 0.9616 | 0.9983 | 0.9982 | Better than 74% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.182 | 0.9916 | 1.01 | Worse than 87% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 143 cases | 0.9743 | 0.9955 | 0.989 | Better than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9798 | 0.9762 | 0.9735 | 0.9448 | 0.9648 | 1.045 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9838 | 0.93 | 0.9469 | 0.9709 | 0.9946 | 0.9772 |
| READM-30-HF-HRRP | 0.961 | 0.9504 | 0.9538 | 0.9133 | 0.9187 | 0.9616 |
| READM-30-HIP-KNEE-HRRP | 1.007 | 1.013 | 0.9751 | 0.9974 | 1.009 | 1.182 |
| READM-30-PN-HRRP | 1.065 | 1.025 | 1.064 | 1.068 | 1.03 | 0.9743 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Caldwell Memorial Hospital | US median | NC average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.742 | 0.489 | 0.6937 | Worse than 74% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.373 | 0.346 | 0.3392 | Worse than 54% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.833 | 0.559 | 0.6866 | Worse than 97% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.404 | 0.6405 | 0.9073 | Worse than 90% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.072 | 0.9628 | 0.9914 | Worse than 77% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.214 | 0.7945 | 0.9227 | Worse than 75% of US hospitals | |
| Total HAC scoreFY 2026 | 0.8964 | -0.0453 | 0.09972 | Worse than 92% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | Yes |
| Total HAC score | 0.0211 | -0.0983 | 0 | -0.0812 | 0.3283 | 0.8964 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2019)
Accreditation
None
Medical school affiliation
Other
Ownership type
110
Medicare-certified beds
115
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Caldwell Memorial Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
4,250
Inpatient discharges
Medicare 18%, Medicaid 2%
25,840
Inpatient days
52% of available bed days used
799
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844683). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Caldwell Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,189 | 341 | 21,310 | 25,840 |
| Discharges | 756 | 67 | 3,427 | 4,250 |
| Average length of stay | 5.5 days | 5.1 days | 6.2 days | 6.1 days |
| Average daily census | 11.5 | 0.9 | 58.4 | 70.8 |
8,137
Medicaid managed care days
173 discharges
1,001
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 125 | 23,485 | 3,753 | 51% |
| Intensive care unit | 12 | 2,355 | 436 | 54% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844683, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Caldwell Memorial Hospital treats Medicare patients for most often, in 2024. 379 Medicare discharges in 19 published DRGs; 11% surgical; 65% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 80 | $33,104 | $11,185 | $11,950 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 32 | $28,678 | $8,193 | $10,353 | 1.33 |
| PsychosesMS-DRG 885, medical | 29 | $46,922 | $7,929 | $16,939 | 1.37 |
| Heart failure and shock with MCCMS-DRG 291, medical | 26 | $27,931 | $8,063 | $10,083 | 1.28 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 22 | $25,671 | $8,310 | $9,267 | 1.32 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $47,970 | $11,668 | $17,317 | 1.88 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 15 | $26,528 | $9,853 | $9,576 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $28,921 | $8,102 | $10,441 | 1.23 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $49,433 | $13,308 | $17,845 | 2.11 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 15 | $21,031 | $5,213 | $7,592 | 0.78 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $23,362 | $5,085 | $8,434 | 0.81 |
| Cellulitis without MCCMS-DRG 603, medical | 14 | $22,193 | $5,530 | $8,012 | 0.88 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 14 | $30,452 | $7,472 | $10,993 | 1.17 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $22,512 | $6,286 | $8,127 | 1.03 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 12 | $29,513 | $8,926 | $10,654 | 1.59 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $28,741 | $9,684 | $10,376 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 12 | $16,280 | $4,987 | $5,877 | 0.90 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $56,026 | $13,348 | $20,225 | 2.07 |
| Diabetes with CCMS-DRG 638, medical | 11 | $13,352 | $6,306 | $4,820 | 0.90 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Caldwell Memorial Hospital billed Medicare for most in 2024: 1,144 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Endovascular ProceduresAPC 5192 | 219 | 149 | $15,271 | $3,890 | $4,338 |
| Level 3 Vascular ProceduresAPC 5183 | 119 | 102 | $16,010 | $2,210 | $2,405 |
| Level 2 Urology and Related ServicesAPC 5372 | 107 | 59 | $1,225 | $473 | $502 |
| Level 3 Endovascular ProceduresAPC 5193 | 69 | 57 | $40,330 | $7,819 | $8,874 |
| Level 1 Endovascular ProceduresAPC 5191 | 68 | 68 | $16,460 | $1,919 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 60 | 59 | $31,397 | $4,878 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 59 | 52 | $16,809 | $1,993 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 56 | 54 | $6,268 | $1,059 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 54 | 51 | $44,602 | $9,625 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 52 | 51 | $16,468 | $1,898 | $2,090 |
See all 22 Medicare outpatient services at Caldwell Memorial Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Caldwell Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 2,055 in 2020 to 2,105 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 28645 | 1,486 | 71% | 7,493 | $53.8M | 51% | 60% |
| 28638 | 242 | 11% | 1,281 | $8.4M | 34% | 45% |
| 28630 | 217 | 10% | 1,250 | $8.6M | 19% | 29% |
| 28655 | 55 | 3% | 333 | $2.3M | 2% | 2% |
| 28681 | 23 | 1% | 226 | $1.3M | 2% | |
| 28606 | 20 | 1% | 79 | $553,700 | 19% | 17% |
| 28611 | 18 | 1% | 80 | $714,479 | 100% | 100% |
| 28601 | 16 | 1% | 91 | $735,612 | 1% | 1% |
| 28607 | 16 | 1% | 63 | $648,735 | 2% | |
| 28602 | 12 | 1% | 104 | $552,823 | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 2,105 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Caldwell Memorial Hospital reported at its latest Medicare certification survey (1998). Counts are people, not full-time equivalents.
115
Registered nurses
4
Licensed practical nurses
15
Physicians
2
Physician assistants
6
Nurse anesthetists (CRNAs)
4
Pharmacists
11
Respiratory therapists
2
Social workers
387
Other personnel
Source: CMS Provider of Services file.
306 clinicians who bill Medicare list Caldwell Memorial Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
James Logan, MD
Rheumatology Physician
NPI 1689675175
See commercial rates for James Logan, MDTheodore Gray, M.D.
Hematology & Oncology Physician
NPI 1730199480
See commercial rates for Theodore Gray, M.D.Jon Muntz, M.D.
Diagnostic Radiology Physician
NPI 1447309125
See commercial rates for Jon Muntz, M.D.Jacob Lackey, PA-C
Physician Assistant
NPI 1699178731
See commercial rates for Jacob Lackey, PA-CJohnny Dy, M.D.
Cardiovascular Disease Physician
NPI 1528021664
See commercial rates for Johnny Dy, M.D.Seth Broster, M.D.
Urology Physician
NPI 1932550571
See commercial rates for Seth Broster, M.D.Adrian Holtzman, MD
Diagnostic Radiology Physician
NPI 1447205778
See commercial rates for Adrian Holtzman, MDKent Edwards
Urology Physician
NPI 1730530502
See commercial rates for Kent EdwardsJohn Nelson, M.D.
Family Medicine Physician
NPI 1528047248
See commercial rates for John Nelson, M.D.Maddalena Duarte, M.D.
Diagnostic Radiology Physician
NPI 1679794796
See commercial rates for Maddalena Duarte, M.D.Phillip Bostian, M.D.
Orthopaedic Surgery Physician
NPI 1043625361
See commercial rates for Phillip Bostian, M.D.Dennis Williams, M.D.
Diagnostic Radiology Physician
NPI 1427379379
See commercial rates for Dennis Williams, M.D.Stephanie Mathews, M.D.
Clinical Pathology/Laboratory Medicine Physician
NPI 1942413083
See commercial rates for Stephanie Mathews, M.D.Steven Isserman, M.D.
Cardiovascular Disease Physician
NPI 1518920271
See commercial rates for Steven Isserman, M.D.Matthew Dyson, M.D.
Diagnostic Radiology Physician
NPI 1073728697
See commercial rates for Matthew Dyson, M.D.Justin Black, MD
Diagnostic Radiology Physician
NPI 1508206285
See commercial rates for Justin Black, MDOmer Shedd, MD
Clinical Cardiac Electrophysiology Physician
NPI 1346252905
See commercial rates for Omer Shedd, MDKevin Clark, DO
General Practice Physician
NPI 1053373399
See commercial rates for Kevin Clark, DOChristopher Hunt, MD
Anesthesiology Physician
NPI 1558341255
See commercial rates for Christopher Hunt, MDJenyung Chiu, MD
Interventional Cardiology Physician
NPI 1770580136
See commercial rates for Jenyung Chiu, MDHerbert Whinna, MD
Clinical Pathology/Laboratory Medicine Physician
NPI 1710074596
See commercial rates for Herbert Whinna, MDTravis Palmer, M.D.
Vascular & Interventional Radiology Physician
NPI 1780003152
See commercial rates for Travis Palmer, M.D.Eric Johnson, M.D.
Diagnostic Radiology Physician
NPI 1306057047
See commercial rates for Eric Johnson, M.D.Angela Coffey, FNP-C
Family Nurse Practitioner
NPI 1790458875
See commercial rates for Angela Coffey, FNP-CSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Caldwell Memorial Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $626.2M | 304.9% |
| Inpatient | $154.7M | 75.3% |
| Outpatient | $471.5M | 229.6% |
| Contractual allowances and discounts | -$420.8M | -204.9% |
| Net patient revenue | $205.4M | 100.0% |
| Operating expenses | -$189.9M | -92.4% |
| Operating income from patient care | $15.5M | 7.6% |
| Other income | $2.6M | 1.3% |
| Net income | $18.1M | 8.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $73.2M | 12.6% |
| Medicaid (including managed care) | $105.4M | 18.2% |
| Other payers and self-pay | $402M | 69.2% |
| Total charges | $580.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844683, amended. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Caldwell Memorial Hospital's latest cost report.
7.6%
Operating margin
Operating income from patient care / net patient revenue
8.7%
Total margin
Net income / net patient revenue plus other income
14.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.69
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
11.2%
Return on assets
Net income for a year / total assets
18.5%
Return on equity
Net income for a year / fund balance
1.35
Current ratio
Current assets / current liabilities
0.84
Quick ratio
Cash, temporary investments and net receivables / current liabilities
43 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
32 days
Days in patient receivables
Net patient receivables / daily net patient revenue
95 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.29
Asset turnover
Total revenue for a year / total assets
Source: CMS cost report (HCRIS, Form 2552-10), report 844683, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Caldwell Memorial Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $161.7M in total assets and a $98M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $21.5M | 13.3% |
| Patient receivables, net | $18.2M | 11.2% |
| Inventory | $4.2M | 2.6% |
| Total current assets | $64.2M | 39.7% |
| Property and equipment, net of depreciation | $93M | 57.5% |
| Investments and other assets | $4.5M | 2.8% |
| Total assets | $161.7M | 100.0% |
| Current liabilities | $47.5M | 29.4% |
| Total liabilities | $63.7M | 39.4% |
| Fund balance (net assets) | $98M | 60.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844683, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Caldwell Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$5.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.3M
Bad debt
Patient bills written off as uncollectible, at charges
$2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$7.7M
Total unreimbursed and uncompensated care
4.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 844683, amended. Hospitals report these figures themselves; they are not audited financial statements.
Caldwell Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $113.5M | $137.6M | $151.7M | $166.2M | $182.7M | $205.4M |
| Operating expenses | $129.1M | $140.3M | $159.3M | $168.8M | $184.5M | $189.9M |
| Operating margin | -13.8% | -1.9% | -5.0% | -1.5% | -1.0% | 7.6% |
| Net income | -$2.3M | $5.8M | $1.6M | $3.1M | $2.3M | $18.1M |
| Total assets | $118.5M | $120.7M | $135.6M | $123.3M | $139.8M | $161.7M |
| Discharges | 3,754 | 4,754 | 4,466 | 4,576 | 4,540 | 4,250 |
| Inpatient days | 17,875 | 27,301 | 30,477 | 28,206 | 28,547 | 25,840 |
| Medicare Advantage days | 5,348 | 8,108 | 8,888 | 10,200 | ||
| Beds | 110 | 137 | 137 | 137 | 137 | 137 |
| Employees (FTE) | 705 | 731 | 750 | 759 | 812 | 799 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844683, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Caldwell Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Medical supplies charged to patient | $15.7M | $14M | 1.13 | ||
| Robbins medical park | $3M | $14.2M | $12.1M | 1.17 | 32,629 |
| Operating room | $5.3M | $13.1M | $92.8M | 0.14 | 28,790 |
| Emergency | $3.8M | $7.8M | $58.9M | 0.13 | 8,727 |
| Retail pharmacy | $571,600 | $7.8M | $6.9M | 1.12 | 636 |
| Laboratory | $2.5M | $7.4M | $56.2M | 0.13 | 7,574 |
| Caldwell foot & ankle | $1.1M | $7.2M | $7.4M | 0.98 | 6,329 |
| Drugs charged to patients | $6.9M | $29.9M | 0.23 | ||
| Blowing rock urgent care | $1.1M | $5.4M | $5.6M | 0.95 | 13,573 |
| Radiology-diagnostic | $1.9M | $5M | $17.8M | 0.28 | 15,457 |
| Impl. dev. charged to patients | $4.5M | $20.2M | 0.22 | ||
| Falls medical park/rivercrest | $764,693 | $4.4M | $4.4M | 1.00 | 36,328 |
| Anderson medical park | $866,747 | $3.8M | $4.9M | 0.78 | 8,148 |
| Respiratory therapy | $1.5M | $3M | $18.4M | 0.17 | 3,112 |
| South fork medical park | $601,796 | $2.7M | $3.1M | 0.86 | 6,726 |
| Westpointe medical practice | $524,554 | $2.6M | $2.7M | 0.96 | 8,266 |
| Physical therapy | $1.4M | $2.6M | $10.3M | 0.25 | 6,714 |
| Jonas hill outpatient clinic | $1.3M | $2.3M | $1.7M | 1.39 | 7,636 |
| Laurel park womens health | $1.4M | $2.3M | $4.4M | 0.51 | 11,056 |
| Mulberry pediatrics | $358,059 | $2.2M | $2.1M | 1.08 | 6,352 |
| Robbins ent | $145,291 | $1.6M | $1.1M | 1.51 | 5,513 |
| Anesthesiology | $2.9M | $1.5M | $23M | 0.07 | 2,639 |
| Unc health urgent care south/gi | $490,740 | $1.4M | $1.5M | 0.94 | 2,123 |
| Robbins pulmonology | $136,902 | $1.3M | $1.6M | 0.77 | 1,686 |
| Ct scan | $440,450 | $1.3M | $65.8M | 0.02 | 1,136 |
| Observation beds (non-distinct part | $1.2M | $4.5M | 0.27 | ||
| Unc health hickory med park | $296,100 | $1.2M | $1.2M | 1.02 | 3,414 |
| Occupational therapy | $725,359 | $1.1M | $2.8M | 0.40 | |
| Cardiac catheterization | $504,533 | $1.1M | $21M | 0.05 | 2,113 |
| Ultrasound | $523,261 | $1.1M | $13.9M | 0.08 | 1,609 |
| Hallmark clinic | $1.7M | $994,841 | $1.8M | 0.57 | |
| Falls ped practice | $640,669 | $872,856 | $1.6M | 0.55 | 2,043 |
| Pmo admin | $1.4M | $717,831 | 760 | ||
| Mri | $250,168 | $714,086 | $19.1M | 0.04 | 917 |
| Foothills dialysis | $896,716 | $692,284 | $4.2M | 0.16 | 1,228 |
| Renal dialysis | $392,452 | $525,073 | 0.75 | 525 | |
| Nuclear medicine | $194,213 | $385,701 | $3.2M | 0.12 | 1,558 |
| Diabetes education | $37,032 | 1,059 | |||
| Unc health lifestyle and wellness c | $3,251 | ||||
| Electroencephalography | $294 | $143,347 | 0.00 | ||
| Unc health lifestyle and wellness c | $288 | ||||
| Caldwell rdc covid clinic | $348 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $11.8M | $30.2M | $36.6M | 0.82 | 51,969 |
| Intensive care unit | $2.2M | $5.2M | $3.2M | 1.62 | 5,535 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.2M | $23.8M | 63,008 | $50.03 | 30,120 |
| Employee benefits department | $603,883 | $10.8M | 836 | $24.76 | 621 |
| Cap rel costs-bldg & fixt | $5.8M | 482,868 | |||
| Cap rel costs-mvble equip | $5.5M | ||||
| Nursing administration | $2.4M | $2.7M | 44,727 | $53.51 | 352 |
| Operation of plant | $791,052 | $2.6M | 22,958 | $34.46 | 104,655 |
| Housekeeping | $1.9M | 2,722 | |||
| Pharmacy | $1.4M | $1.7M | 29,930 | $47.50 | 1,859 |
| Social service | $1.2M | $1.4M | 30,406 | $39.24 | 660 |
| Cafeteria | $958,248 | ||||
| Dietary | $142 | $847,952 | 8 | $17.75 | 5,296 |
| Laundry & linen service | $38,706 | ||||
| Central services & supply | $14,352 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844683, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Caldwell Memorial Hospital for an inpatient stay.
1.57
Case mix index
Higher than 36% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
37.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
706
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.71 | 1.71 | 1.76 | 1.83 | 1.67 | 1.61 | 1.57 |
| Wage index | 0.865 | 0.856 | 0.853 | 0.879 | 0.893 | 0.893 | 0.977 |
| Readmissions adjustment | -0.42% | -0.35% | -0.18% | 0.00% | -0.25% | -0.17% | -0.61% |
| Value-based purchasing adjustment | -0.28% | +0.29% | +0.29% | -0.35% | -0.46% | -0.91% | -0.55% |
| Medicare inpatient stays | 1,373 | 1,373 | 1,178 | 991 | 893 | 889 | 706 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Caldwell Memorial Hospital reports to Medicare as owners or with operational control.
University Of North Carolina Health Care System
5% or greater indirect ownership interest, 100%, since 2013
University Of North Carolina Health Care System
Operational/managerial control, 100%, since 2013
Sources: CMS Hospital All Owners.
The officers and board members on Caldwell Memorial Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
| Name | Title |
|---|---|
| David Lowry MD | Director/president & CEO |
| Sarah Young MD | CMO |
| Karen Shadowens | CFO |
| Allison Charles PT | Vp/physician Services |
| Jerrell Suddreth RN | CNO |
| Heather Foss | COO |
| David Smith | Director/chairman |
| Jerry Church | Director/secretary & Treasurer |
| Terry Hunt | Director/vice Chairman |
Board members: Jason DePlatchett, Bradley Christoph MD, Elizabeth Darnell MD, Bob Floyd, Diana McClinton MD, Douglas Johnson, Janet Aiken, Joseph Gibbons, Kevin McDougall, Mark Poarch MD, Muriel Gaither, Zachary Kimball MD.
Source: IRS Form 990 Part VII filed by Caldwell Memorial Hospital Inc (EIN 56-0554202), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2025
340B ID DSH340041, registered as a disproportionate share hospital; 25 registered outpatient sites. Authorizing official: Karen A Shadowens, VP & CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Caldwell Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Caldwell Memorial Hospital range from $2,233 to $2,493 across 2 insurers. Blue Cross Blue Shield's rate is $2,233. The median at nearby comparable hospitals is $1,676. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Caldwell Memorial Hospital range from $1,808 to $2,974 across 2 insurers. Aetna's rate is $2,974. The median at nearby comparable hospitals is $2,392. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Caldwell Memorial Hospital range from $4,148 to $5,021 across 2 insurers. UnitedHealthcare's rate is $5,021. The median at nearby comparable hospitals is $1,926. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Caldwell Memorial Hospital range from $6,105 to $8,405 across 4 insurers. Cigna's rate is $6,731. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Caldwell Memorial Hospital range from $142 to $273 across 2 insurers. Aetna's rate is $273. The median at nearby comparable hospitals is $261. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Caldwell Memorial Hospital range from $14,871 to $24,285 across 4 insurers. Aetna's rate is $17,450. The median at nearby comparable hospitals is $25,714. What a patient pays depends on their plan's deductible, coinsurance and network status.
Caldwell Memorial Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Caldwell Memorial Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Caldwell Memorial Hospital's base inpatient payments by an estimated 0.61% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (80 discharges), simple pneumonia and pleurisy with mcc (32 discharges), psychoses (29 discharges).
Caldwell Memorial Hospital's Medicare case mix index is 1.57 for fiscal year 2027, higher than 36% of hospitals paid under the inpatient prospective payment system.
Caldwell Memorial Hospital reported 4,250 inpatient discharges and 25,840 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Caldwell Memorial Hospital reported 799 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Caldwell Memorial Hospital reported $205.4M in net patient revenue on $626.2M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 7.6%, and net income of $18.1M.
Caldwell Memorial Hospital reported $7.7M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $5.2M of charity care at cost.
Caldwell Memorial Hospital's Medicare enrollment lists Cristen Parker Page as CEO Unc Health Care System since 2023. Its 2024 IRS Form 990 lists David Lowry MD as Director/president & CEO.
Insurers' price transparency files list Caldwell Memorial Hospital under employer identification number 56-0554202 ((multi-state) Caldwell Memorial Hospital). 47 health plans and networks list 56-0554202 for it.
Yes. HRSA's 340B database lists Caldwell Memorial Hospital (340B ID DSH340041) as a participating disproportionate share hospital since 2025.
306 clinicians who bill Medicare list Caldwell Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (48), physician assistant (28), anesthesiology physician (26).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Caldwell Memorial Hospital, effective 2019.
In its Medicare enrollment, Caldwell Memorial Hospital reports University Of North Carolina Health Care System as 5% or greater indirect ownership interest (100%).
CMS lists 22 services at Caldwell Memorial Hospital, including Adult Inpatient Psychiatric Care, Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Caldwell Memorial Hospital came from ZIP codes 28645 (1,486), 28638 (242), 28630 (217).
Caldwell Memorial Hospital has 137 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 110 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Caldwell Memorial Hospital is located at 321 Mulberry Street Sw, Lenoir, NC 28645. Its main phone number is (828) 757-5100.
Caldwell Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 340041.
The National Provider Identifier (NPI) on file for Caldwell Memorial Hospital is 1114974029.
Caldwell Memorial Hospital is affiliated with UNC Health.
Caldwell Memorial Hospital lists 27 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
451 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers